CAJ | 학술논문

目的：观察疏波、密波、疏密波电针对缺血性脑卒中后轻度认知障碍临床疗效的影响。方法将符合诊断标准的60例患者随机分为疏波组、密波组和疏密波组,每组20例。各组在针刺的基础上百会、神庭施以电针。疏波组选择疏波治疗,密波组选择密波治疗,疏密波组选择疏密波治疗,观察2个疗程后3组患者的临床疗效。3组采用MMSE评分、日常生活活动能力评定(ADL),由同一操作者于治疗前后各检查1次。结果疏波组总有效率为55.0%,密波组总有效率为65.0%,疏密波组总有效率为90.0%,3组总有效率比较差异有统计学意义(P＜0.05)；3组患者治疗后MMSE评分有明显提高,ADL评分明显下降,治疗前后差异有统计学意义(P＜0.01),3组治疗后组间比较差异有统计学意义(P＜0.01)。结论疏波、密波、疏密波电针均可改善轻度认知障碍,但疏密波总体疗效优于疏波和密波。
목적：관찰소파、밀파、소밀파전침대결혈성뇌졸중후경도인지장애림상료효적영향。방법장부합진단표준적60례환자수궤분위소파조、밀파조화소밀파조,매조20례。각조재침자적기출상백회、신정시이전침。소파조선택소파치료,밀파조선택밀파치료,소밀파조선택소밀파치료,관찰2개료정후3조환자적림상료효。3조채용MMSE평분、일상생활활동능력평정(ADL),유동일조작자우치료전후각검사1차。결과소파조총유효솔위55.0%,밀파조총유효솔위65.0%,소밀파조총유효솔위90.0%,3조총유효솔비교차이유통계학의의(P＜0.05)；3조환자치료후MMSE평분유명현제고,ADL평분명현하강,치료전후차이유통계학의의(P＜0.01),3조치료후조간비교차이유통계학의의(P＜0.01)。결론소파、밀파、소밀파전침균가개선경도인지장애,단소밀파총체료효우우소파화밀파。
ObjectiveTo observe the efficacy of electroacupuncture with different wave patterns, sparse wave, intense wave, and sparse-intense wave, on the therapeutic efficacy in treating mild cognitive disorder after ischemic stroke.MethodSixty eligible patients were randomized into a sparse wave group, an intense wave group, and a sparse-intense wave group, 20 in each group. The three groups were given electroacupuncture at Baihui (GV20) and Shenting (GV24) in addition to the basic acupuncture treatment.The Mini-mental State Examination (MMSE) and Activities of Daily Living (ADL) were adopted for evaluation before and after the intervention by the same practitioner.ResultThe total effective rate was 55.0% in the sparse wave group, 65.0% in the intense wave group, and 90.0% in the sparse-intense wave group, and thedifferenceswere statistically significant among the three groups (P<0.05); afterintervention, the MMSE score increased significantly and ADL score decreased significantly in the three groups (P<0.01), and the inter-group differences were statistically significant after intervention(P<0.01).ConclusionElectroacupuncture with sparse wave, intense wave, or sparse-intense wave all can improve mild cognitive disorder, while the general therapeutic efficacy of sparse-intense wave is higher than sparse wave and intense wave.